Female sterilisation: is it what women really want or are alternative contraceptive methods acceptable?
نویسندگان
چکیده
OBJECTIVE An initial audit was conducted in 2001 to monitor all women referred for female sterilisation. This re-audit in 2003 set out to investigate those women who initially chose alternative reversible contraception and ascertain whether they were still using that method or if they or their partner had requested sterilisation. METHODS A telephone survey of general practitioners was conducted, 2 years after an initial sterilisation counselling appointment, of those women who initially had chosen alternative, reversible forms of contraception. RESULTS Information regarding current contraception was obtained for 44 (85%) of the cohort of 52 women. Three women and five of their partners (15.4%) had been sterilised in the intervening 2 years. Two women had undergone hysterectomy for gynaecological reasons. Thirty-four (65.4%) women were using reversible contraceptive methods and 31 (59.6%) were still using the same contraceptive method chosen at the sterilisation counselling appointment. Information was not available for eight (15.4%) women. CONCLUSIONS Female sterilisation counselling within a contraception and sexual health service successfully offers a full range of contraceptive alternatives. This small audit indicates that at least two-thirds of women who choose one of these alternatives will still be using this method 2 years later. Although the number of women in this audit is small, we suggest that this change in service delivery has contributed to a decline in female sterilisation within the district and has led to an increased use of effective, reversible hormonal contraception within the community and hospital services.
منابع مشابه
Female sterilisation: is it what women really want?
OBJECTIVE To audit the effectiveness of a female sterilisation counselling clinic. DESIGN A prospective, observational study of a female sterilisation counselling clinic over a 6-month period to determine the proportions of attenders keeping their appointment, proceeding to sterilisation, and attending for surgery. SETTING A hospital-based, city centre family planning clinic run by permanen...
متن کاملFemale sterilisation in rural Bihar: what are the acceptor characteristics?
OBJECTIVE The National Population Policy aims to expand voluntary and informed use of contraceptive services. This paper examines the determinants of use of female sterilisation versus other contraceptive methods in rural Bihar, one of the most socially and economically deprived states in India. METHODS Data for 1378 ever-married women aged 15-49 years in rural Bihar, who are currently using ...
متن کاملTrends in the use of Female Sterilisation through Minilaparotomy for Contraception at a Teaching Hospital in North Central Nigeria Tendances de la stérilisation féminine par mini laparotomie comme moyen contraceptif dans un hôpital universitaire du nord-centre du Nigeria
BACKGROUND: Female sterilisation is the most widely used method of contraception worldwide. However, only a small proportion of contraceptors are reported to rely on female sterilisation in Nigeria. Continuous reviews of trends in its use are necessary to develop policies that will improve uptake in the country. OBJECTIVE: To determine the volume and trends in the use of female sterilisation th...
متن کاملThe safety and effectiveness of a new hysteroscopic method for permanent birth control: results of the first Essure pbc clinical study.
BACKGROUND Current methods of female surgical sterilisation require incisional surgery, general anaesthesia and a prolonged recovery time. We studied the safety and effectiveness of Essure pbc, a minimally invasive, transcervically placed micro-insert that occludes the Fallopian tubes, resulting in permanent female contraception. Device under study: The Essure pbc implant is a dynamically expan...
متن کاملOutcomes of women referred for sterilisation.
OBJECTIVE To evaluate whether women referred to a gynaecology clinic requesting sterilisation were receiving appropriate counselling about sterilisation and other forms of long-term contraception, and to determine the proportion of women who ultimately underwent sterilisation. METHODS A retrospective audit of 100 women referred requesting sterilisation. RESULTS 15% of women referred did not...
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ورودعنوان ژورنال:
- The journal of family planning and reproductive health care
دوره 32 3 شماره
صفحات -
تاریخ انتشار 2006